石菖蒲,味辛而苦,气温,无毒。能开心窍,善通气,止遗尿,安胎除烦闷,能治善忘。
但必须石上生者良,否则无功。然止可为佐使,而不可为君药。开心窍,必须君以人参,通
气,必须君以 、术。遗尿欲止,非多加参、 不能取效。胎动欲安,非多加白术不能成功。
除
或问石菖蒲必得人参而始效,是石菖蒲亦可有可无之药也。此吾子过轻石菖蒲矣。石菖
蒲实有专功也。凡心窍之闭,非石菖蒲不能开,徒用人参,竟不能取效。是人参必得菖蒲以
成功,非菖蒲必得人参而奏效。盖两相须而两相成,实为药中不可无之物也。
或问石菖蒲何故必取九节者良,市上易者,且不止九节,节之多寡,可不问乎?石上菖
蒲,凡细小者俱可用,而前人取九节者,取九窍之俱可通也,其实菖蒲俱能通心窍,心窍通
而九窍俱通矣。
或疑石菖蒲能治健忘,然善忘之症用之绝少效验,何耶?善忘之症,因心窍之闭耳。心
窍之闭者,由于心气之虚,补心之虚,舍人参无他药也。不用人参以补虚,惟恃菖蒲以开窍,
窍
天门冬,味苦而甘,性凉,沉也,阴也,阴中有阳,无毒。入肺、肾二经。补虚痨,杀
虫,
润五脏,悦颜色。专消烦除热,止嗽定咳尤善,止血消肺痈有神。但性凉。多服颇损胃。世
人谓天门冬善消虚热,吾以为此说不可不辨。天门冬止可泻实火之人也,虚寒最忌,而虚热
亦宜忌之。盖虚热未有不胃虚者也。胃虚而又加损胃之药,胃气有不消亡者乎。胃伤而传之
脾,则脾亦受伤。脾胃两伤,上不能受水谷,而下不能化糟粕矣,又何望其补哉。大约天冬
,凡肾水亏而肾火炎上者,可权用之以解氛,肾大寒而肾水又弱者,断不可久用之以滋阴也
。
或谓天冬性润,可以解火,即可以益水,先生谓不可久用者,以肾火之寒也,但肾火寒
者,
自不可用矣,肾水未竭,而肾火未寒者,亦可用之乎。此则愚所未言也。肾水未竭,而肾火
又未寒,是平常无病之人也。似
乎服天冬,可以无碍。然而补之药胜于天冬者甚多,何必择此性凉者,以日伐其火乎。夫人
非水火不生活,且水非火不生,火非水不养。止补其水而泻其火,初则火渐衰而水旺,久则
火日去而水亡。此天冬所以只可暂以补水,而不可久以泻火也。
或问天冬同地黄用之,可以乌须发,此久治之法以滋肾者,而吾子谓天冬只宜泻实火之
人,
岂乌须发而亦可谓实火耶?夫须发之早白,虽由于肾水之不足,亦因于肾火之有余也。夫火
之有余,既因于水之不足,则寒凉以补水,正寒凉以泻火
也。况天冬与地黄同用,则天冬之凉者不凉,肾得其滋补之益,而须发之焦枯,有不反黑者
哉。然则天冬之乌须发,仍泻实火,而非泻虚火矣。
或问天门冬治痨瘵之病甚佳,而吾子谓止可暂服,岂治痨疾者,可一二剂愈乎?嗟乎。
天门
冬治痨瘵者,必脾健而大肠燥结、肺气火炎者宜之。然亦只可少服。而不可多服也。夫寒凉
之物,未有不损胃者也。脾健则胃气亦健。大肠燥结,则肺气亦必燥结。天冬凉肺而兼凉胃
,宜其无恶,但久用天冬,胃凉则脾亦凉,肺凉则大肠亦凉,又势所必至也。乌可不先事而
预防哉。
或问湿热不去,下流于肾,能使骨痿。肾欲坚,急食苦以坚之,天门冬、黄柏之类是也。
是天门冬味苦气寒,正入肾以除热,可以治痿,而竟置不言,何也?此吾子知其一,不知其
二
也。夫治痿必治阳明。骨痿虽属肾,而治法必兼治胃。天门冬大寒,不利胃气,暂服可以治
痿,久服必至损胃,胃损而肾又何益耶。况胃又肾之关门,关门无生气之固,而欲肾宫坚牢
,以壮骨生髓,必不得之数也。世人遵黄柏、知母之教,以损伤胃气。铎又何敢复扬天门冬
治痿之说,以劝人再用寒凉乎。此所以宁缺,以志予过也。
或疑天冬泻实火,不泻虚火,虚火禁用,实火安在不可常用耶?夫火虽有虚、实之分,
而泻
火之药,只可暂用,而不可常用也。天门冬泻实火,未尝不佳,特怪世人久服耳。人非火不
活,暂损其有余,使火不烁水已耳,乌可经年累月服泻火之药哉。泻之日久,未有实火而不
变为虚火者也。此常服之断宜戒也。
或疑天门冬性虽寒,以沙糖、蜜水煮透,全无苦味,则寒性尽失,不识有益阴虚火动之
病乎
?夫天门冬之退阴火,正取其味苦涩也。若将苦涩之味尽去,亦复何益。或虑其过寒,少去
其苦涩,而加入细节甘草,同糖、蜜共制,庶以之治阴虚咳嗽,两有所宜耳。
或问天门冬,古人有服而得仙,吾子贬其功用,谓多服必至损胃,然则古语荒唐乎?嗟
乎!《
神农本草》服食重载长生,岂皆不可信乎?大约言长生者,言其能延生也,非即言不死也。
天门冬,食之而能却病,吾实信之,谓采服飞升,尚在阙疑。
Shichangpu (Acori Tatarinowii Rhizoma), with a pungent and bitter taste, is warm in nature and non-toxic. It can open the orifices of the Heart, effectively promotes the flow of Qi, stops enuresis, calms the fetus and relieves irritability, and treats forgetfulness.
However, only those growing on rocks are considered superior; otherwise, they are ineffective. Nevertheless, it can only serve as an assistant drug (Zuo Shi) and cannot be used as the sovereign drug (Jun Yao). To open the orifices of the Heart, it must be paired with Renshen (Ginseng Radix et Rhizoma) as the sovereign drug; to promote the flow of Qi, it must be paired with Baizhu (Atractylodis Macrocephalae Rhizoma) and Cangzhu (Atractylodis Rhizoma) as the sovereign drug. To stop enuresis, large doses of Renshen and Cangzhu are required for efficacy. To calm fetal movement, large doses of Baizhu are necessary for success.
Someone asked: Since Shichangpu requires Renshen to be effective, is Shichangpu an optional herb? This is your undervaluation of Shichangpu. Shichangpu indeed has specific functions. For any closure of the orifices of the Heart, Shichangpu is indispensable for opening them; using Renshen alone would yield no effect. Thus, Renshen relies on Shichangpu to achieve its goal, not Shichangpu relying on Renshen. They mutually depend on and complete each other, making them indispensable in herbal medicine.
Someone asked: Why must Shichangpu have nine nodes to be considered superior? Market varieties often have more than nine nodes. Does the number of nodes matter? Shichangpu growing on rocks, even if small, can be used. The ancients selected those with nine nodes because "nine" symbolizes the opening of all orifices. In reality, Shichangpu opens the orifices of the Heart; once the Heart orifices are open, all orifices become patent.
Someone doubts that Shichangpu treats forgetfulness, yet it rarely shows efficacy for this condition. Why? Forgetfulness is caused by the closure of the orifices of the Heart. Closure of the Heart orifices stems from deficiency of Heart Qi. To tonify Heart deficiency, there is no herb other than Renshen. Without using Renshen to tonify deficiency and relying solely on Shichangpu to open orifices... [Text cuts off here]
Tianmendong (Asparagi Radix), with a bitter and sweet taste, is cool in nature, heavy in texture, and Yin in character, containing Yang within Yin. It is non-toxic. It enters the Lung and Kidney meridians. It tonifies deficiency consumptive diseases, kills parasites, moistens the five Zang organs, and enhances complexion. It specifically eliminates vexation and heat, is particularly effective in stopping coughs and calming wheezing, and has miraculous effects in stopping bleeding and resolving lung abscesses. However, its cool nature means excessive use damages Stomach Qi. People say Tianmendong is good at clearing deficient heat, but I believe this statement needs clarification. Tianmendong is only suitable for clearing excess fire; it is strictly contraindicated in deficiency-cold patterns and should also be avoided in deficiency-heat patterns. Deficient heat invariably involves Stomach deficiency. If the Stomach is already deficient and further damaged by herbs that injure the Stomach, will Stomach Qi not perish? When the Stomach is injured, it transmits to the Spleen, injuring the Spleen as well. With both Spleen and Stomach injured, the upper body cannot accept food and fluids, and the lower body cannot transform waste. How can one expect tonification? Generally, for cases where Kidney Water is deficient and Kidney Fire flares upward, Tianmendong can be used temporarily to resolve the crisis. However, for cases of severe Kidney Cold with weak Kidney Water, it must never be used long-term for nourishing Yin.
Someone said: Tianmendong is moistening, so it can extinguish fire and thereby benefit water. You say it shouldn't be used long-term because of cold Kidney Fire. But if Kidney Fire is cold, it naturally shouldn't be used. What about cases where Kidney Water is not exhausted and Kidney Fire is not cold? Can these use it? This was something I did not mention before. If Kidney Water is not exhausted and Kidney Fire is not cold, the person is healthy. It seems taking Tianmendong would cause no harm. However, there are many tonifying herbs superior to Tianmendong. Why choose this cool-natured herb to daily suppress fire? Humans cannot live without Water and Fire; Water is generated by Fire, and Fire is nourished by Water. Only tonifying Water while draining Fire initially leads to declining Fire and rising Water, but over time, Fire disappears and Water perishes. This is why Tianmendong can only temporarily supplement Water and cannot be used long-term to drain Fire.
Someone asked: Using Tianmendong with Dihuang (Rehmanniae Radix) can darken hair and beard, which is a long-term method to nourish the Kidneys. Yet you say Tianmendong is only for clearing excess fire. Can darkening hair and beard also be considered excess fire? Premature graying of hair and beard results not only from insufficient Kidney Water but also from surplus Kidney Fire. Since excess Fire arises from insufficient Water, using cold-cooling herbs to supplement Water is precisely using cold-cooling herbs to drain Fire. Moreover, when Tianmendong is used with Dihuang, its cooling property is moderated. The Kidneys receive the benefits of nourishment, and burnt, dry hair and beard will inevitably turn black again. Therefore, Tianmendong darkens hair and beard by draining excess fire, not deficient fire.
Someone asked: Tianmendong is excellent for treating consumption (Lao Zhai), yet you say it should only be taken temporarily. Can consumption be cured in one or two doses? Alas. Tianmendong is suitable for treating consumption only when the Spleen is robust, the Large Intestine is dry and constipated, and Lung Qi has flaming fire. Even then, it should only be taken in small amounts, not large ones. Cold-natured substances invariably damage Stomach Qi. A robust Spleen implies a robust Stomach. Dryness and constipation in the Large Intestine imply dryness and stagnation in the Lung. Tianmendong cools the Lung and simultaneously cools the Stomach, which is acceptable without adverse reactions. However, long-term use causes the Stomach to become cold, leading to a cold Spleen, and the Lung to become cold, leading to a cold Large Intestine. This is inevitable. How can one fail to prevent this beforehand?
Someone asked: Damp-heat flowing down to the Kidney can cause bone萎 (Wei syndrome - flaccidity). The Kidney desires firmness; urgently eating bitter substances firms it up, such as Tianmendong and Huangbai (Phellodendri Cortex). Tianmendong is bitter and cold, entering the Kidney to clear heat, thus treating Wei syndrome. Why did you omit this? You know one part but not the other. Treating Wei syndrome must involve the Yangming channel. Although bone Wei belongs to the Kidney, the treatment method must concurrently treat the Stomach. Tianmendong is greatly cold and detrimental to Stomach Qi. Temporary use can treat Wei syndrome, but long-term use will damage the Stomach. If the Stomach is damaged, what benefit is there to the Kidney? Furthermore, the Stomach is the gatekeeper of the Kidney. Without the vitality and consolidation of the gatekeeper, how can the Kidney palace remain firm to strengthen bones and generate marrow? This is impossible. People follow the teachings of Huangbai and Zhimu, damaging Stomach Qi. How dare I, Chen Shiduo, promote Tianmendong for treating Wei syndrome and encourage the use of cold-natured herbs again? This is why I omitted it, to record my own error.
Someone doubts: Tianmendong drains excess fire, not deficient fire. Deficient fire is contraindicated, so why is excess fire not suitable for regular use? Although fire is divided into deficient and excess types, herbs that drain fire should only be used temporarily, not regularly. Tianmendong draining excess fire is not bad, but it is strange that people take it long-term. Humans need fire to live; temporarily reducing excess fire prevents it from scorching water. How can one take fire-draining herbs year after year? Long-term draining of fire inevitably transforms excess fire into deficient fire. Regular use must be strictly prohibited.
Someone doubts: Although Tianmendong is cold, if boiled thoroughly with rock sugar and honey until the bitter taste is gone, its cold nature is lost. Is this beneficial for Yin deficiency with fire agitation? Tianmendong retreats Yin fire precisely because of its bitter and astringent taste. If this taste is completely removed, what benefit remains? Or, fearing it is too cold, one might slightly reduce its bitterness and add a small amount of Gancao (Licorice Radix et Rhizoma), processed together with sugar and honey. This might be suitable for treating Yin deficiency coughs, benefiting both aspects.
Someone asked: Ancients claimed some took Tianmendong and became immortals. You depreciate its function, saying excessive use damages the Stomach. Are ancient words absurd? Alas! The *Shennong Ben Cao Jing* heavily records longevity through ingestion. Are all these unbelievable? Generally, "longevity" means extending life, not achieving immortality. I truly believe eating Tianmendong can drive away disease, but claims of harvesting it to ascend to heaven remain in doubt.